A nurse is providing teaching to a client who has heart failure and a new prescription for furosemide. Which of the following statements should the nurse make?

"Rise slowly when getting out of bed "

“Taking furosemide can cause you to be overhydrated."

"Eat foods that are high in sodium."

“Taking furosemide can cause your potassium levels to be high."

Answer and Explanation

The Correct Answer is A

A. "Rise slowly when getting out of bed." Furosemide can lead to significant fluid and electrolyte loss, causing orthostatic hypotension. Clients may experience dizziness or lightheadedness when changing positions. Rising slowly helps prevent falls and promotes safety.
B. “Taking furosemide can cause you to be overhydrated." Furosemide is a potent diuretic that promotes fluid excretion, not retention. The risk of dehydration and electrolyte imbalance is much higher than overhydration. Monitoring intake and output is essential.
C. "Eat foods that are high in sodium." High sodium intake increases fluid retention, which can worsen heart failure symptoms. Furosemide is often prescribed to manage fluid overload, and sodium-rich foods would counteract its effects. A low-sodium diet is recommended.
D. “Taking furosemide can cause your potassium levels to be high." Furosemide increases the excretion of potassium through the kidneys, often leading to hypokalemia. Low potassium levels can result in muscle weakness or cardiac arrhythmias.

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Correct Answer is B

Explanation

A. Candidiasis. This is a common fungal infection, often caused by Candida albicans. It is not a reportable disease to public health authorities because it is not typically considered a public health threat.
B. Chlamydia. Chlamydia is a nationally notifiable infectious disease due to its high prevalence and potential for serious complications such as infertility. Providers are required to report it to the state health department to aid in public health surveillance and control efforts.
C. Herpes simplex virus. While herpes is a common sexually transmitted infection, it is not currently on the national notifiable disease list and is not required to be routinely reported to public health agencies.
D. Human papillomavirus (HPV). HPV is widespread and associated with cervical cancer, but routine HPV infection is not reportable. However, certain types of cancer caused by HPV may be included in cancer registries.

A. "Place a warm, wet washcloth over your child's forehead and the bridge of their nose." B. "Use your thumb and forefinger to apply pressure to the sides of your child's nose." C. "Have your child lie down and turn their head to the side for 10 minutes." D. “Tell your child to blow their nose gently, and then sit down and tilt their head backward."

Correct Answer is B

Explanation

A. "Place a warm, wet washcloth over your child's forehead and the bridge of their nose." Warm compresses may actually dilate blood vessels, which can worsen the bleeding. Cold compresses are preferred to help constrict vessels.
B. "Use your thumb and forefinger to apply pressure to the sides of your child's nose." This is the correct first-aid measure for epistaxis. The parent should pinch the soft part of the nose continuously for 10–15 minutes while the child leans forward.
C. "Have your child lie down and turn their head to the side for 10 minutes." Lying down can increase blood flow to the nose and may cause blood to be swallowed, which can lead to nausea or vomiting.
D. “Tell your child to blow their nose gently, and then sit down and tilt their head backward." Tilting the head back can cause blood to drain into the throat, increasing the risk of aspiration and stomach upset. Leaning forward is the proper position.

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A nurse is providing teaching to a client who has heart failure and a new prescription for furosemide. Which of the following statements should the nurse make?

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Naxlex Comprehensive Predictor Exams

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